Organization
ENDOSCOPY CENTER OF GULF BREEZE LLC
Active
Other names
Gulf Breeze Endoscopy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE L CARTEE (ADMINISTRATOR)
(850) 474-8988
Entity
Organization
Contact information
Practice address
1116 GULF BREEZE PARKWAY, GULF BREEZE, FL 32561
(850) 934-4438
(850) 934-4211
Mailing address
1116 GULF BREEZE PARKWAY, GULF BREEZE, FL 32561
(850) 934-4438
(850) 934-4211
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6M1
BCBS OF FLORIDA
FL
01
—
6M1
HEALTH OPTIONS
—
01
—
7956778
AETNA
—
01
—
9256246
CIGNA
—
01
—
987294
USA HEALTH NETWORK
—
01
—
P00326955
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
04/20/2008
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